A 4 months baby not passing stool since 9 days . Plz suggest management?

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What are per abd findings,is baby irritable or vomiting?if yes get xray erect abd done, f/b usg? If all clinical findings r normal,baby is playful feeding well,then give glycerin suppositiory per rectum.

Thank you doctor
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NEED'S.. WATER .. FRUIT JUICE .. CONTAINING .. SORBITOL .. SSE .. SOAP SUDS ENEMA ..

Tnx Dr Vipin Bihari Jain sir
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Give dulcoflex paediatric suppository per rectal stat. Neopeptine drops 10 drops twice daily to continue.

Apparently glycerine suppository

Thanks Dr. Sandeep Ghodeker ,Dr Kute Ankush, Dr.Dinesh Gupta
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If baby is clinically normal with normal breast feeding then once give glycerin child size suppository stat. Do not give oral purgatives.

Adv evaluation. Hydration is must May be suppositories are helpful

Sometimes, babies on top feed pass gets constipated. Ask history of passing stools in newborn period ( if passed before 24hours,then its fine). But if there is history of delayed passage of stools ,then additional work up is needed.( to rule out hurschprung's disease). Avoid suppositories as it can cause trauma ,leading to anal incontinence. You can give syp lactulose if needed .

Glycerine enema,ruled out Sr. Calcium,thyroid function

Glycerine suppositary and investigation

Glycerine suppository recommended primarily, after drinking adequate water, n fibrous food. Stop routine diet

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